Last updated: 9 February 2026
"Recent improvements in staffing, but leadership conflicts causing manager departures, overdue training, and no activities programme hold it back."
Risks to people were not always appropriately managed which had resulted in injuries or near misses. Medication storage was chaotic. Mental capacity assessments were not decision specific.
Theres a mixed culture amongst the staff. I know there’s animosity around things like one minute we’re using agency, then we’re not the next minute. There was a clear divide amongst the management team which was creating a hostile culture amongst leaders.
There was currently a high use of agency nurses at the service. Staff felt there had recently been an improvement... There was a couple of months when we were short staffed.
some staff did not receive regular supervisions and their mandatory training was not up to date. The provider’s training matrix demonstrated several staff members had been required to complete refresher courses... still not been completed for over a year.
There was a fractious relationship amongst the leadership team which had caused internal conflict within the service, resulting in disagreements on where finances should be spent. Following our assessment, the registered manager and nominated individual left their employment at the service.
We did not observe any significant engagement for people during our onsite assessment, and were told this was the norm. A recent relative feedback survey reported that 25% of relatives had stated there were not enough activities.
No permanent manager in place yet, old leadership had conflicts over money that hurt care quality.
the registered manager and nominated individual left their employment at the service. A new manager is currently in place and is in the process of applying to register with the Care Quality Commission. There was a fractious relationship amongst the leadership team which had caused internal conflict
Mandatory training is behind with refresher courses overdue for over a year for some staff.
their mandatory training was not up to date. The provider’s training matrix demonstrated several staff members had been required to complete refresher courses in various training modules. However, these had still not been completed for over a year.
No activities programme or coordinator, so the role is mostly routine personal care.
We did not observe any significant engagement for people during our onsite assessment, and were told this was the norm. further work was required to ensure all people had equal opportunities to take part in meaningful activities.
AI Generated
Last inspected: February 2025
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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